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Senior/Adult Member |
$50.00 |
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Family Member (Information required below) |
$75.00 |
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Junior Competitor (Information required below) |
$30.00 |
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FAMILY
MEMBER(S) &, (if junior), date of birth |
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Name: |
Date of Birth
Date/Month/Year |
Stable |
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A |
A |
A |
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B |
B |
B |
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C |
C |
C |
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NAME OF
PARENTS/GUARDIAN |
PLACE OF WORK |
PHONE |
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Stable Codes:
Hinson Hall (HH), Spicelands (SRC), Inwood (INW), Terceira's
(TS) Seaview (SV) Specify other: |
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VOLUNTEER REQUEST |
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WE ALWAYS NEED
VOLUNTEERS - CAN YOU ASSIST IN ANY OF THE FOLLOWING
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Runner |
Scribe |
Scorer |
Announcer |
Steward |
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Canteen |
Other |
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Would you be able to provide Accommodation, Transportation and/or
Entertainment for our visiting Judges and/or Clinician?
Yes
No
. |
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Would you like to make a GENERAL DONATION towards the BDG?
OR a specific donation towards the following:
FEI
Challenge
CEA
Challenge
. |
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Signature:
___________________________________________
Date: _________
Please make
cheques payable to Bermuda Dressage Group |
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